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JENNY PHAN
NPI 1871013383
Nurse Practitioner - Family in Oakland, CA

Active since June 26, 2017
510 17TH ST, OAKLAND, CA 94612(510) 433-1150 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 21, 2019, Aug 24, 2018, Jul 7, 2017 and 1 more (4 updates tracked since 2017).

About Jenny Phan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNY PHAN (NPI 1871013383) is an individual family provider in Oakland, California, licensed in California (95008848) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1871013383
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNY PHAN
Location Address510 17TH STOakland, CA 94612
Mailing Address510 17th StOakland, CA 94612-1553
Phone(510) 433-1150
Sole ProprietorYes
Enumeration DateJune 26, 2017
Last NPPES UpdateOctober 15, 20254 updates tracked since enumeration
NPPES CertifiedOctober 15, 2025
✔ NPI 1871013383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95008848
Also ListedRegistered NurseTaxonomy 163W00000X · License 95129331 (CA)
510 17TH ST, Oakland, CA 94612
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YOONMEE JOO NP
Nurse Practitioner (Adult Health)
510 17TH ST, #400
OAKLAND, CA 94612
Alameda County (510) 433-1150
MISS LAURA DANN RN
Registered Nurse
510 17TH ST
OAKLAND, CA 94612
Alameda County (510) 433-1150
MS. ALICIA MARIE ENGLISH PH.D.
Psychologist (Clinical)
510 17TH ST
OAKLAND, CA 94612
Alameda County (510) 452-8838
ANGEL VAZQUEZ
Registered Nurse
510 17TH ST
OAKLAND, CA 94612
Alameda County (510) 433-1160
BARBARA NORUM RN
Registered Nurse
510 17TH ST
OAKLAND, CA 94612
Alameda County (510) 433-1150
BILLY CLARK DUATIN
Registered Nurse
510 17TH ST
OAKLAND, CA 94612
Alameda County (510) 359-3516
CHRISTINA MAEY TAYLOR ASW
Social Worker
510 17TH ST
OAKLAND, CA 94612
Alameda County (510) 435-9676
MS. BARBARA MICHELLE STEIBER
Massage Therapist
510 17TH ST
OAKLAND, CA 94612
Alameda County (510) 433-1150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenny Phan's NPI number?

The NPI number for Jenny Phan is 1871013383. It was assigned to this individual provider in the NPPES registry on June 26, 2017.

Where is Jenny Phan located?

Jenny Phan practices at 510 17th St, Oakland, CA 94612. The listed phone number is (510) 433-1150.

What is Jenny Phan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jenny Phan was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.